MEDICARE: MAHDI TAHA D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RX0202X	Medical Oncology Physician	OS17126	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346488061
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAHDI TAHA D.O.

Provider Business Mailing Address
First Line	:	PO BOX 281046
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30384-1046
Country	:	US
Telephone Number	:	954-571-0111
Fax Number	:

Provider Business Practice Location Address
First Line	:	1192 E NEWPORT CENTER DR
Second Line	:
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33442-7753
Country	:	US
Telephone Number	:	954-571-0111
Fax Number	:	954-509-9793

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/03/2009
Last Update Date	:	01/16/2026

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Directions to “ MAHDI TAHA D.O.” Practice Location

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